Provider Demographics
NPI:1992021976
Name:HORIZON SCIENCE ACADEMY-DAYTON-HIGH SCHOOL
Entity Type:Organization
Organization Name:HORIZON SCIENCE ACADEMY-DAYTON-HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERVENTION SPECIALIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-281-1480
Mailing Address - Street 1:250 SHOUP MILL RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-3517
Mailing Address - Country:US
Mailing Address - Phone:937-281-1480
Mailing Address - Fax:937-281-1481
Practice Address - Street 1:250 SHOUP MILL RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-3517
Practice Address - Country:US
Practice Address - Phone:937-281-1480
Practice Address - Fax:937-281-1481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH011534251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)